EID B. MUSTAFA MD PA NPI 1043302243

NPI Information

NPI: 1043302243
Provider Name: EID B. MUSTAFA, MD PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1201 BROOK AVENUE
WICHITA FALLS, TX
ZIP 76301
Phone: (940) 322-1122
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EID B. MUSTAFA, MD PA is a plastic and reconstructive surgery surgery in Wichita Falls, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. EID B. MUSTAFA, MD PA NPI is 1043302243. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 BROOK AVENUE
WICHITA FALLS, TX
ZIP 76301-601
Phone: (940) 322-1122
Fax: (940) 767-8918

The provider's authorized official is Dawn Stivers .
The authorized official title is Business Office and has the following contact phone number (940) 322-1122.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2082S0105X	Plastic Surgery	Surgery of the Hand	G2792	TEXAS	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	G2792	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	171591401	MEDICAID	TEXAS
2	240006708	OTHER	TEXAS	RR MEDICARE IDENTIFIER
3	B25054	MEDICARE UPIN	TEXAS
4	00947X	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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